Organization
ELY BLOOMENSON COMMUNITY HOSPITAL AND NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE KOTZIAN (BUSINESS OFFICE DIRECTOR)
(218) 365-8761
Entity
Organization
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-8761
Mailing address
328 W CONAN ST, ELY, MN 55731-1145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
327664
MN
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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